Liza Ellen Bagdan, PEER COUNSELOR

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

License

NYCPS-P-4584 Issued in NY

Practice address

497 Rockaway Ave
Valley Stream, NY 11581-1909

Phone

(718) 845-2621

NPI assigned

Nov 5, 2024

Last updated

Nov 5, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Friends of Bridge Inc

  • Community/Behavioral Health Agency
  • Valley Stream, NY
  • NPI 1467634535
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1730764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730764800000",
    "number": "1417770645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6850 ALDERTON ST",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113745321",
            "telephone_number": "516-698-8431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "497 ROCKAWAY AVE",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115811909",
            "telephone_number": "718-845-2621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAGDAN",
        "first_name": "LIZA",
        "middle_name": "ELLEN",
        "name_prefix": "Ms.",
        "credential": "PEER COUNSELOR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-11-05",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "NY",
            "license": "NYCPS-P-4584",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "907214704",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "N/A",
            "affiliation": "N",
            "endpointDescription": "N/A",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "497 Rockaway Ave",
            "city": "Valley Stream",
            "state": "NY",
            "country_code": "US",
            "postal_code": "115811909",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Lyudmila Babayeva, NP
• Philomise Badio, LPN
• Yemalicia Dorosa Bady
• Luz Maria Baena, M.S., L.C.S.W.
• Cristina Baesa, PHYSICAL THERAPIST
• Alexa Bahadur
• Shanil Bahadur
• Meshal Baig
• Leslie Lauraine Bailey, LPN
• Rebecca Bailey

• Peer Specialist in Valley Stream, NY
• Providers in Valley Stream, NY by specialty
• Peer Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.